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This is VAERS ID 1115752

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1115752
VAERS Form:2
Age:30.0
Sex:Female
Location:Connecticut
Vaccinated:2021-02-06
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004M20A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test positive, Vaginal haemorrhage, Blood test abnormal, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole, prenatal vitamin, zyrtec
Current Illness:
Preexisting Conditions:
Allergies: penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy occurred within the 8 days following the vaccine. Pregnancy confirmed with positive urine pregnancy test on 03/01/2021. Some vaginal bleeding began 03/12/2021 but resolved quickly. Abdominal cramping and bleeding on 03/15/2021 and 03/16/2021. Blood work completed on 03/15/2021 and 03/17/2021 showed a decrease in pregnancy hormone and pregnancy was considered miscarried.


Changed on 5/7/2021

VAERS ID: 1115752 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Connecticut
Vaccinated:2021-02-06
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004M20A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test positive, Vaginal haemorrhage, Blood test abnormal, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole, prenatal vitamin, zyrtec
Current Illness:
Preexisting Conditions:
Allergies: penicillin penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy occurred within the 8 days following the vaccine. Pregnancy confirmed with positive urine pregnancy test on 03/01/2021. Some vaginal bleeding began 03/12/2021 but resolved quickly. Abdominal cramping and bleeding on 03/15/2021 and 03/16/2021. Blood work completed on 03/15/2021 and 03/17/2021 showed a decrease in pregnancy hormone and pregnancy was considered miscarried.


Changed on 5/21/2021

VAERS ID: 1115752 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Connecticut
Vaccinated:2021-02-06
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004M20A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test positive, Vaginal haemorrhage, Blood test abnormal, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole, prenatal vitamin, zyrtec
Current Illness:
Preexisting Conditions:
Allergies: penicillin penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy occurred within the 8 days following the vaccine. Pregnancy confirmed with positive urine pregnancy test on 03/01/2021. Some vaginal bleeding began 03/12/2021 but resolved quickly. Abdominal cramping and bleeding on 03/15/2021 and 03/16/2021. Blood work completed on 03/15/2021 and 03/17/2021 showed a decrease in pregnancy hormone and pregnancy was considered miscarried.

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